Neuro-Ophthalmic Associates, LLC

NPI #1275664625 in Portland, Oregon

Provider Information

NPI Number: 1275664625
Entity Type: Organization
Organization Name: Neuro-Ophthalmic Associates, LLC
Primary Specialty: Ophthalmology
Enumeration Date: Mar 8, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1040 NW 22ND AVE
Address 2: SUITE 200
City: Portland
State: Oregon
ZIP Code: 97210-3057
Phone: (503) 413-8015

Authorized Official

Name: DR. WILLIAM THOMAS SHULTS, M.D.
Title: MEMBER-OWNER
Phone: (503) 413-8032

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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